Temporal auditory analysis of acoustic events in various frequency channels is influenced by the ability to detect amplitude modulations which for normal hearing involves low-pass filtering with a cutoff frequency around 100 Hz and a rejection slope of about 10 dB per decade. These characteristics were established in previous studies measuring modulation transfer functions. For cochlear implant subjects, the delivery of detailed amplitude modulation information has been recently shown to result in very significant improvements in speech understanding. Several previous studies on cochlear implant subjects have reported capacities for temporal resolution rather equivalent to those of normally hearing subjects but with some notable individual differences. Recently two studies on some cochlear implant subjects indicated modulation transfer functions often quite similar to those of normal hearing but exhibiting marked individual differences in shape and absolute sensitivity. The present study compared amplitude modulation detection and phonetic recognition in a group of cochlear implant subjects to determine the extent to which the two tasks are correlated. Nine individuals who had been implanted with an Ineraid device and who demonstrated open speech understanding ranging from excellent to poor were chosen and tested in the present study. For each subject modulation transfer functions were measured at the most apical electrode and phonetic recognition of isolated vowels and intervocalic consonants was assessed. Results showed a strong correlation between the depth of high-frequency rejection in modulation transfer functions and success in vowel and consonant intelligibility. These results emphasize the importance of temporal speech features and offer perspectives for customizing signal processing in cochlear implants.
Vestibular disorders, by inducing significant posturo-locomotor and cognitive disorders, can significantly impair the most basic tasks of everyday life. Their precise diagnosis is essential to implement appropriate therapeutic countermeasures. Monitoring their evolution is also very important to validate or, on the contrary, to adapt the undertaken therapeutic actions. To date, the diagnosis methods of posturo-locomotor impairments are restricted to examinations that most often lack sensitivity and precision. In the present work we studied the alterations of the dynamic weight distribution in a rodent model of sudden and complete unilateral vestibular loss. We used a system of force sensors connected to a data analysis system to quantify in real time and in an automated way the weight bearing of the animal on the ground. We show here that sudden, unilateral, complete and permanent loss of the vestibular inputs causes a severe alteration of the dynamic ground weight distribution of vestibulo lesioned rodents. Characteristics of alterations in the dynamic weight distribution vary over time and follow the sequence of appearance and disappearance of the various symptoms that compose the vestibular syndrome. This study reveals for the first time that dynamic weight bearing is a very sensitive parameter for evaluating posturo-locomotor function impairment. Associated with more classical vestibular examinations, this paradigm can considerably enrich the methods for assessing and monitoring vestibular disorders. Systematic application of this type of evaluation to the dizzy or unstable patient could improve the detection of vestibular deficits and allow predicting better their impact on posture and walk. Thus it could also allow a better follow-up of the therapeutic approaches for rehabilitating gait and balance.
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